Date of download: 5/28/2016 Copyright © The American College of Cardiology. All rights reserved. From: Pediatric Cardiac Interventions J Am Coll Cardiol Intv. 2008;1(6): doi: /j.jcin Intracardiac Echocardiographic Images During Transcatheter Closure of a Large Secundum ASD in a 12.5-Year-Old Male Child (A, B) Images in septal view without (A) and with (B) color Doppler, demonstrating the presence of a large defect (arrow) measuring 31 mm. (C, D) Images in long axis (caval) view without (C) and with (D) color Doppler, demonstrating the large defect (arrow) measuring 26 mm. (E, F) Images in short-axis view without (E) and with (F) color Doppler, demonstrating the large defect (arrow) measuring 24 mm. (G, H) Images after a 34-mm device was implanted in caval (G) and short-axis (H) view, demonstrating good device position and no residual shunt. ASD = atrial septal defect; AV = aortic valve; LA = left atrium; RA = right atrium; SVC = superior vena cava. Figure Legend:

Date of download: 5/28/2016 Copyright © The American College of Cardiology. All rights reserved. From: Pediatric Cardiac Interventions J Am Coll Cardiol Intv. 2008;1(6): doi: /j.jcin Cine Fluoroscopic Images in a 6-Year-Old Female Child With High Muscular VSD (A) Angiogram in the left ventricle in the long axial oblique view (long axial oblique: 50°, cranial: 15°) showing a high muscular ventricular septal defect (VSD) (arrow) that measured about 6 mm. (B) Repeat left ventricle angiogram after deployment of a 8-mm Amplatzer muscular VSD occluder showing complete closure and good device position. Figure Legend:

Date of download: 5/28/2016 Copyright © The American College of Cardiology. All rights reserved. From: Pediatric Cardiac Interventions J Am Coll Cardiol Intv. 2008;1(6): doi: /j.jcin Cine Fluoroscopic Images in the Lateral Projection in a 6.5-Year-Old Female Child With a PDA (A) Angiogram in the descending aorta demonstrating a 2-mm patent ductus arteriosus (PDA) at its narrowest diameter (arrow), angiographic type A. (B) 6-F delivery sheath across the PDA into the descending aorta with the device near the tip of the sheath (arrow). (C) Deployment of the retention desk and tubular part of a 6- to 4-mm Amplatzer duct occluder (arrow). (D) Final angiogram after the device has been released, demonstrating complete closure of the ductus. Figure Legend:

Date of download: 5/28/2016 Copyright © The American College of Cardiology. All rights reserved. From: Pediatric Cardiac Interventions J Am Coll Cardiol Intv. 2008;1(6): doi: /j.jcin Cine Fluoroscopic Images in the Lateral Projection in a 6-Year-Old Male Child With Severe COA With a Gradient of 31 mm Hg (A) Angiogram in the aortic arch demonstrating the presence of tight coarctation of the aorta (COA) (arrow). The narrowest diameter measures 2.5 mm. (B) Repeat angiogram in the arch after deployment of a P2510 Genesis stent mounted initially over a 9 mm × 2 cm Z-MED balloon (NuMED Inc., Hopkinton, New York) then further dilated with a 12 mm × 2.5 cm Tyshak balloon. This angiogram demonstrates good stent position with a final diameter of 9 mm and the final gradient was 4 mm Hg. Figure Legend: